Alternaria alternata is a fairly common indoor mould. In one study it was found in 87% of the homes examined. It is considered one of the most important fungal allergens. Alternaria alternata has been implicated as the cause of allergic diseases in people exposed to wood and sawdust during paper production in paper mills. It is regarded as the main cause of allergy and asthma in children aged 6–11 years.
It is known to produce over 70 various mycotoxins with tenuazonic acid being the most commonly known.
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Stachybotryotoxicosis has also been reported in farm workers who handled contaminated straw. Recent studies have shown spores of Stachybotrys chartarum to contain high concentrations of highly toxic mycotoxins. In 1993-1994 an outbreak of pulmonary hemorrhage in infants in Cleveland, Ohio,USA, was initially attributed to Stachybotrys chartarum. Since this incidence, this mould has received a lot of media attention in North America and has been given various names such as “toxic mould” and “black mould”. Although studies associating the outbreak with this mould were later reviewed and thought not to provide enough evidence to associate the disease with Stachybotrys chartarum, there are still no studies to date to prove or disapprove this claim.